门静脉高压性肠病——一种不该忽视的门静脉高压并发症

李姗姗; 杨长青

doi:10.3969/j.issn.1001-5256.2022.06.006

门静脉高压性肠病——一种不该忽视的门静脉高压并发症

DOI: 10.3969/j.issn.1001-5256.2022.06.006

李姗姗,
杨长青^, ,

同济大学附属同济医院消化科，同济大学医学院消化疾病研究所，上海 200065

基金项目:

国家自然科学基金 (81670571);

国家自然科学基金 (81820108006);

上海市临床重点专科建设项目 (SHSLCZDZK06801);

上海申康三年行动计划重大临床研究项目 (SHDC2020CR2030B)

利益冲突声明：所有作者均声明不存在利益冲突。

作者贡献声明：李姗姗负责文章撰写，查阅资料；杨长青负责对文章的知识性内容作批评性审阅，指导文章方向及最后定稿。

详细信息

通信作者:
杨长青，cqyang@tongji.edu.cn

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- 被引次数: 0
出版历程
- 收稿日期: 2022-03-21
- 录用日期: 2022-04-22
- 出版日期: 2022-06-20

Portal hypertensive enteropathy: A disease that should not be ignored among the complications of portal hypertension

Shanshan LI,
Changqing YANG^{,
,}

Division of Gastroenterology and Institute of Digestive Diseases, Tongji Hospital, Tongji University School of Medicine, Shanghai 200065, China

Research funding:

Natural Science Foundation of China (81670571);

Natural Science Foundation of China (81820108006);

Key Clinical Specialty Construction Projects of Shanghai (SHSLCZDZK06801);

Three-Year of Action Plan of Shanghai Shenkang Hospital Development Center (SHDC2020CR2030B)

More Information

Corresponding author: YANG Changqing, cqyang@tongji.edu.cn(ORCID: 0000-0001-6997-0214)

摘要

摘要: 门静脉高压性肠病虽与门静脉高压性胃病类似，但由于其内镜下表现多种多样且缺乏特异性，诊断标准并未统一，个体差异性大，患者可在相当长的时间内没有症状，临床易漏诊。根据患者病情及经治专家经验，在治疗方面主要包括对症支持治疗、药物治疗、内镜治疗以及放射性介入治疗和外科手术治疗。虽然近年来门静脉高压性肠病的内镜表现及治疗相关研究已有所报道，但临床医师对该病的诊治及预后仍缺乏应有的重视。
- 门静脉高压性肠病 /
- 门静脉高压 /
- 诊断 /
- 治疗学
Abstract: Although portal hypertensive enteropathy (PHE) is similar to portal hypertensive gastroenteropathy, it has various endoscopic manifestations with a lack of specificity, and there are still no unified diagnostic criteria. It is easily ignored by clinicians due to great individual differences and the absence of symptoms for quite a long period of time. Based on the patients' conditions and local expert experience, the treatment methods include symptomatic supportive treatment, pharmacotherapy, endoscopic therapy, radioactive intervention therapy, and surgical interventions. Although there have been reports on the endoscopic manifestations and treatment of PHE in recent years, the diagnosis, treatment, and prognosis of this disease should be taken seriously by clinicians.
- Portal Hypertensive Enteropathy /
- Portal Hypertension /
- Diagnosis /
- Therapeutics

HTML全文

图 1 门静脉高压性小肠病内镜下表现

注：a，水肿；b，鲑鱼卵样病变；c，毛细血管扩张；d，正常对照^[2]。

Figure 1. Endoscopic images of portal hypertensive small intestine

下载: 全尺寸图片幻灯片

图 2 门静脉高压性结肠病内镜下表现

注：a，红斑^[17]；b，毛细血管扩张^[18]；c，水肿伴静脉曲张^[18]；d，息肉样病变伴出血^[19]。

Figure 2. Endoscopic manifestation of portal hypertensive colobathy

下载: 全尺寸图片幻灯片

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